When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?         A. Amitriptyline (Elavil)      B. Calcitonin      C. Pergolide mesylate (Permax)      D. Verapamil (Calan)           Correct Answer: A. Amitriptyline… Read More »

Which of the following conditions would a nurse not administer erythromycin?         A. Campylobacteriosis infection      B. Legionnaires disease      C. Pneumonia      D. Multiple Sclerosis           Correct Answer: D. Multiple Sclerosis Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord (central nervous system). It cannot be treated by… Read More »

A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following may be experienced as side effects of this medication:         A. GI bleeding      B. Peptic ulcer disease      C. Abdominal cramps      D. Partial bowel obstruction           Correct Answer: C. Abdominal cramps The most frequent side… Read More »

Nurse Maria plans to administer dexamethasone cream to a female client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?         A. With a circular motion, to enhance absorption.      B. With an upward motion, to increase blood supply to the affected area.      C. In long, even, outward,… Read More »

A patient recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. Which information obtained during his chart review and assessment will be of greatest concern?         A. The gums appear enlarged and inflamed.      B. The white blood cell count is 2300/mm3.      C. Patient occasionally forgets to… Read More »

A male client with type 1 diabetes is scheduled to receive 30 U of 70/30 insulin. There is no 70/30 insulin available. As a substitution, the nurse may give the client:         A. 9 U regular insulin and 21 U neutral protamine Hagedorn (NPH).      B. 21 U regular insulin and 9 U NPH.   … Read More »

Nurse Kate is aware that one of the following classes of medication protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation is:         A. Beta-adrenergic blockers      B. Calcium channel blocker      C. Narcotics      D. Nitrates           Correct Answer: A. Beta-adrenergic blockers Beta-adrenergic blockers work by blocking beta receptors… Read More »

A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:         A. Cause diarrhea      B. Change the color of her urine      C. Cause mental confusion      D. Cause changes in taste           Correct Answer: B. Change the color of… Read More »

The nurse is aware that one of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?         A. Beta-adrenergic blockers      B. Calcium channel blocker      C. Diuretics      D. Inotropic agents           Correct Answer: D. Inotropic agents Inotropic agents are administered to increase… Read More »

A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?         A. Limit the client’s activity      B. Encourage a high-carbohydrate diet      C. Utilize an incentive spirometer to improve respiratory function      D. Encourage fluids           Correct Answer: D. Encourage fluids Clients taking Acyclovir… Read More »